Before the Executive Magistrate/Notary Public

 

AFFIDAVIT

 

I, Sri……………………………………..aged………………………….years

S/o…………………………….Vill:………………………………P.O………………………………..

P.S……………………………………….. Dist:………………………………… do hereby solemnly affirm and state as follows:-

1. That I am the permanent resident at the above mentioned address in the State of Orissa.
2. That my profession is………………………………………… and my annual income from all sources is Rs………………………… approximately.
3. That I am the owner of the following schedule of land having exclusive right, title, interest and possession thereon.

Mouza Khata No. Plot No. Area

 

 

 

 

4. That I want to stand as a surety for Sri……………………………….S/o…………………………..

for availing study loan stipend from Higher Education Department,Government of Orissa for prosecution of his study in……………………………………course.

5. That I undertake to repay the entire loan stipend availed by Sri…………………………………

alongwith interest thereon, if any, if he fails to repay the same.

6. That the facts stated above are true to the best of my knowledge and belief.

That I swear this affidavit to be produced before the concerned authority of Higher Education Deptt for the above purpose.

 

Identified by me. Deponent

 

Advocate

The above named deponent identified by Sri…………………………………, Advocate

solemnly affirm and states before me that the facts stated above are true to the best of his knowledge and belief.

 

 

Executive Magistrate

Seal.